[Hiring] Senior Claims Analyst @Crum & Forster

Role Description

The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. The Senior Analyst is accountable for the accurate determination of the proper amount due the insured or claimant within assigned authority limits and for the compliance with company policies and procedures.

Strong preference for the candidate to be based in the Milwaukee, WI area but open to remote anywhere.

• Verify, identify coverage, compensability issues and conduct limited investigations.
• Identify subrogation, second injury fund and fraud situations and develop information to pursue.
• Conduct timely initial and ongoing contacts and investigation based on best practices guidelines.
• Maintain proper file on all activities and issues.
• Obtain medical records relating to the claim.
• Review claim for necessity and relatedness.
• Provide case management to files with ongoing treatment using authorized outside resources where needed.
• Prepare and submit appropriate state and agency forms timely.
• Assist with account coordination and claims reviews.
• Timely process bills and other benefit payments.
• Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives.
• Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys.
• Provide superior customer service to agents, insured’s and others during the claims handling process.
• When appropriate and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority.
• Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations.
• Obtain non-resident adjuster licenses for mandatory states.
• Take continuing education courses to maintain license.

Qualifications

• High school diploma and 6+ years of relevant experience required
• College degree is preferred but may be waived based on prior claim or business experience.
• Excellent written and verbal communication skills.
• General knowledge of insurance and/or claims is a plus.
• Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs.

Benefits

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision, focused on your whole family’s wellness, including your physical, mental and financial wellbeing
• Opportunities for career development, including tuition reimbursement, industry-related certifications and professional training
• A dynamic, ambitious, fun and exciting work environment
• Encouragement of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program

Company Description

Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.